Dr S Dayyani Od A Prof Corp

LBN: Dr S Dayyani Od A Prof Corp
Dr S Dayyani Od A Prof Corp is an health care organization with primary practice located at 322 Wilshire Blvd , Santa Monica CA 90401-1312. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr S Dayyani Od A Prof Corp can be contacted via phone (310) 319-6122, or through Dayyani, Shahrokh via phone (310) 319-6122.

Contact Information

Primary practice address
322 Wilshire Blvd Santa Monica CA 90401-1312
Phone: (310) 319-6122
Fax: (310) 458-4799
Website:
Map and Directions
Authorized official contact:
Name: Dayyani, Shahrokh Doctor of Optometry (OD)
Phone: (310) 319-6122

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T10307 California

Profile Details

NPI number 1205983905
LBN Legal business name Dr S Dayyani Od A Prof Corp
DBA Doing business as
Authorized official Dayyani, Shahrokh Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Aug 14th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205983905 NPPES
California MEDICAID GSD001450

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